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The Case of Patients Quitting Physical Therapy: Lack of Challenge and Therapist Responsibility

By Tandem Strength & Balance Staff July 24, 2024 No Comments

Summary: Physical therapy is often a critical part of rehabilitation for many individuals wanting to improve their function, athletic performance, or recovering from injuries or surgeries.  A concerning trend, however, has emerged where patients prematurely quit their physical therapy sessions. Two of the significant reasons behind this trend are the perceived lack of challenge in their therapy routines and the fact that physical therapists might not always raise the bar to address this issue.

Why Patients Quit Physical Therapy:

  • Lack of Progress:When patients feel that their PT sessions are not yielding noticeable improvements in their condition, they may become disheartened and discontinue the treatment altogether. Without a sense of progress, the motivation to continue diminishes.
  • Boredom:Many physical therapy routines can become monotonous over time, especially if they consist of repetitive exercises without variation. Patients may find these routines uninspiring, leading to loss of interest and dropping out of therapy.
  • Perception of Ineffectiveness:If patients believe that their therapy sessions are not sufficiently challenging to address their specific needs, they may question the effectiveness of the treatment and opt to discontinue it in favor of other approaches.
  • Scheduling conflicts and financial constraints:Patients often quit physical therapy due to scheduling conflicts when they find it difficult to fit sessions into their daily routines, leading to missed appointments and interrupted progress. Financial constraints also contribute, as the cost of ongoing therapy sessions can become prohibitive for some patients, especially if insurance coverage is limited or nonexistent.

Why Physical Therapists Might Not Raise the Bar:

  • Fear of Injury: Physical therapists are trained to prioritize patient safety above all else. While challenging exercises can promote progress, they also carry the risk of injury, particularly if patients are not ready for them. Therapists must strike a delicate balance between pushing patients to improve and ensuring that they do not push too hard, risking setbacks or additional injuries.
  • Basic Treatment Plans:Physical therapists design individualized treatment plans for each patient’s unique set of challenges and requirements; based on factors such as the patient’s medical history, current condition, and rehabilitation goals. What may seem like a lack of challenge to an outsider, could actually be a carefully crafted routine tailored to the specific needs and abilities of the patient, that helps build the foundation to progressively more challenging exercises in later sessions.
  • Communication and Consent:Communication between physical therapists and their patients is essential. Before introducing more challenging exercises, therapists must ensure that patients are informed and comfortable with any changes. Some patients may prefer a more gradual approach to progression, while others may be more receptive to pushing their limits.
  • Insurance Driven Restrictions: A frustrating and likely more prevalent issue is that clinics are faster paced and many bill through insurance, which can restrict physical therapists from fully customizing and challenging rehabilitation programs. This is often because insurance dictates the types and duration of treatments covered, and can limit the physical therapist’s ability to tailor programs to individual patient need and goals. Additionally, the emphasis on quickly moving patients through treatment can leave little time for in-depth assessments and incorporating more innovative or specialized techniques. Physical therapists may feel pressured to adhere to standardized protocols rather than adapting treatment plans based on each patient’s unique circumstances.

Conclusion: The issue of patients quitting physical therapy due to a perceived lack of challenge is multifaceted. While it is crucial for therapists to continually assess and adjust treatment plans to promote progress, they must also prioritize patient safety and individualized care, along with often adhering to insurance criteria. Communication between therapists and patients is key to addressing concerns and ensuring that therapy remains engaging and effective.

Tandem Strength & Balance offers an innovative approach with their in-home physical therapy services. This model is especially beneficial for individuals who require longer-term rehab, those with mobility issues, busy schedules, living with chronic illnesses or simply prefer the comfort of their own home. Moreover, the private pay option allows for customizable treatment plans that aren’t restricted by insurance limitations. Tandem Strength & Balance is committed to a broader range of therapies, promoting a positive and ongoing approach to rehabilitation. With a commitment to excellence and patient-centric care, Tandem Strength & Balance continues to make a significant impact in the lives of those they serve.

“Tandem Strength & Balance is geared to continually encourage and challenge their client to reach new strength goals and keeping the individual’s quality of life and mobility the best it can be… for as long as it can be.”

John G

“TSB is a service second to none and provides: outstanding quality and talented physical therapists, the highest level of interest and concern for the patient, encouragement to increase strength and mobility, ongoing communication and RESULTS.”

Steve H

“If you or a loved one needs help with strength and balance, I recommend the physical therapy team at Tandem! They do amazing work! Mom is 81 and has had severe health challenges and TS&B has helped her recover from each episode, even when the medical profession had given up.”

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